Year: 2020
Type: article
Study design: Observational Study
Abstract: The aim of this study was to examine the association between toothbrushing frequency and school refusal among elementary school children. We used data from the Adachi Child Health Impact of Living Difficulty (A-CHILD) longitudinal study conducted between 2015 and 2016 in Adachi City, Tokyo, Japan. A questionnaire was distributed to all first-grade children aged 6 to 7 years (N = 3697, follow-up rate: 86.2%). Propensity score (PS) matching was applied to collapse the known covariates on toothbrushing frequency in grade 1 on the association with school refusal in grade 2. Among the followed children, 2.4% showed school refusal in grade 2 (89 children) and 23.5% (870 children) brushed their teeth once or less than once daily in grade 1. After propensity score matching, children with toothbrushing once or less than once daily in grade 1 were 2.25 (95% CI: 1.25-4.05) times more likely to show school refusal in grade 2, compared with those with toothbrushing twice or more a day. Our findings suggest that toothbrushing once or less than once daily is an independent risk factor for school refusal among children. Oral health promotion to recommend toothbrushing more than once a day could prevent school refusal. Further intervention studies investigating the mechanism and causality are warranted.
Language: English
Subfield: Periodontics
Field: Dentistry
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,429
Awards: G1423555618, エコロジカル・モデルを用いた子どもの自殺リスク要因に関する縦断的研究, G1613082504, G1863062624, G2384533566, How poverty deteriorate child health? Development of strategy to address child poverty based on mediation analysis, G3103207487, G3268995722, G3388662209, Behavioral economics approach to prevent dental caries among children in poverty, G3503170888, G4117000781, G4394767148, The association between family environment and dental caries of children via non-cognitive skills, Clarification of lifestyle and social risk factors in adolescence for the prevention of lifestyle-related diseases, G4937070264, Associations of cooking skills with child dietary behaviors and health, G5920764944, G6633700128, Longitudinal study on the effect of vegetable intake habits of children on the prevention of obesity, A Longitudinal Study on the Promotive Factors of Children's Resilience from an Ecological Multisystem Perspective, G8187532430, G8424447090, Verification of the association between dental caries in children and eating vegetables at start of meals., Intervention study aimed at eliminating the accumulation of carious teeth in children due to poverty, G923185316
OpenAlex ID: W3093457897